CMS proposes extensive 2027 changes to Medicare Advantage and Part D, including Star Ratings overhaul and $14B spending increase. Insurers should assess impacts on quality bonuses and compliance.
Senate Democrats advance a clean three-year extension of enhanced ACA tax credits to prevent health insurance premium hikes, spotlighting the ongoing legislative healthcare debate in the U.S.
A Georgia homeowner's struggle with a fraudulent fire damage claim exposes gaps in insurance claim verification and the impact of inaccurate records in the C.L.U.E. database on premiums.
GAO report reveals systemic fraud in ACA marketplace subsidies, causing billions in improper payments and driving up healthcare costs. Policy reforms seek to improve program integrity and reduce premiums.
U.S. Tax Court decision clarifies tax implications of whole life insurance policy loans and surrenders, highlighting key IRS compliance issues for insurers and policyholders.
The Senate faces key decisions on extending Affordable Care Act tax credits with bipartisan negotiations ongoing amid rising premiums. GOP and Democrats explore health savings accounts and association health coverage proposals to manage costs.
AM Best maintains a stable outlook for U.S. commercial lines insurance in 2025 despite challenges from litigation, inflation, and evolving risks. Specialized risk control and AI-driven underwriting are key trends.
CMS announces increases in Medicare Parts A and B premiums and deductibles for 2026, reflecting rising medical costs and usage. Explore implications for senior care, Medicaid, and insurance professionals.
The potential expiration of ACA premium tax credits threatens health insurance coverage for 267,000 U.S. veterans and their families, heightening premiums and financial strain without Congressional renewal.
Indian national sentenced to two years for Medicare fraud involving fake COVID-19 testing claims totaling over $1.17 million. The case highlights ongoing challenges in health care fraud detection and regulatory compliance.
